Breast Augmentation with Silicone Breast Implants

ml

44 year old patient.  She breast fed 4 children and has significant volume loss, particularly in the upper part of her breast. She feels flat like a pancake. Her nipple position is okay, but some of the breast extends below the fold (pencil test) and this is called glandular ptosis.  Her current cup size is a B and she wants to be a full C.  421 cc silicone breast implants place through an lower areolar incision.  If she desired, a nipple reduction can be completed as a secondary procedure.